Organization
SOUTH COAST COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAHAMTAN NEMATBAKHSH JD (CEO)
(949) 642-0180
Entity
Organization
Contact information
Practice address
693 PLUMER ST, COSTA MESA, CA 92627-2720
(949) 642-0180
Mailing address
693 PLUMER ST, COSTA MESA, CA 92627-2720
(949) 642-0180
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300012BN
CA
Other
Enumeration date
08/20/2013
Last updated
10/02/2024
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